| NPI | 1366716474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 308839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747779) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-08-30 |