| NPI | 1043780646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 777896-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331006) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-10-11 |