| NPI | 1003244922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695149) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 235365-1) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2017-03-24 |