NPI | 1083190672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 829347) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330345) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-02-02 |