| NPI | 1265718498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 690646) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 26488) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2014-08-18 |