| NPI | 1831697309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 560271) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 560271) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 560271) | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |