| NPI | 1295047017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22660674) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 294837) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2015-06-22 |