| NPI | 1134747264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 827621) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 337045) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-10-05 |