| NPI | 1336689058 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 498046)  | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 498046)  | 
| 163WC1500X Registered Nurse, Community Health (Licence: NY 498046)  | |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 498046)  | |
| Enumeration Date | 2017-02-28 | 
| Last Update Date | 2017-02-28 |