| NPI | 1346884541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 495137789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 854540) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-10-11 |