| NPI | 1861067175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 436152) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 436152-01) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |