| NPI | 1235387390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 672863) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 282926) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2013-07-16 |