| NPI | 1093227993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 757795) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321227) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2018-09-14 |