| NPI | 1366696593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 649811) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 285028) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2012-05-17 |