| NPI | 1134426554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 700004) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 289320) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2024-05-28 |