| NPI | 1306044185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 627249) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 627249) |
| 164W00000X Licensed Practical Nurse (Licence: NY 283810) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-04-04 |