| NPI | 1255913331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 326948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 916772) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-11-12 |