| NPI | 1114351749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763401) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 292031) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2020-06-12 |