| NPI | 1043587371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 680215) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 306265-1) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2015-09-10 |