| NPI | 1255939005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 811125) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 339314) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-04-14 |