| NPI | 1154622033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 627798-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 627798-1) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |