| NPI | 1396998936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 636659) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 265456) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2011-06-27 |