| NPI | 1912721762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 764977-01) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 764977-01) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |