| NPI | 1164761235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 313333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 781877) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-10-26 |