| NPI | 1124420732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 9393453) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319461-1) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2016-09-28 |