| NPI | 1396289815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 326195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 800366) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-09-12 |