| NPI | 1447693650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 708362) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308856) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2016-11-21 |