| NPI | 1093231540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 750384) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303793) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-02-15 |