| NPI | 1285231100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 322662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 953179) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2024-10-19 |