| 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 |