| NPI | 1922874106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 505381) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 505381) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 505381) | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |