| NPI | 1104026798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 635059) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 282681) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2013-04-11 |