| NPI | 1255712212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 805917) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321986-1) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-01-11 |