| NPI | 1184098253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 729269) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 322953-1) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2024-08-20 |