| NPI | 1295268605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 800134) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 328131) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-08-20 |