| NPI | 1275873036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 811297) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 306064-1) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2021-04-26 |