| NPI | 1083025308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 787255) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299664) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2020-04-02 |