| NPI | 1376097485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 305925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 772153) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2020-10-06 |