| NPI | 1396013785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 738847) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299417) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2024-01-15 |