| NPI | 1396156188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 754102) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309273) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2019-05-01 |