| NPI | 1811122161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 515339) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 515339) |
| 163WH0200X Registered Nurse Home Health (Licence: NY 515339) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: NY 515339) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |