| NPI | 1225216294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 782460) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2914611) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2024-07-26 |