| NPI | 1205281896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 811411) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 324229) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-03-05 |