| NPI | 1316391485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 761771-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308486) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-06-14 |