NPI | 1124424940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 760391-1) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 320286) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2019-06-27 |