| NPI | 1982497921 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 398823) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 398823) |
| 163WA2000X Registered Nurse Administrator (Licence: NY 398823) | |
| 163WH1000X Registered Nurse Hospice (Licence: NY 398823) | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |