| NPI | 1093943748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 287769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 886043) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-09-18 |