| NPI | 1467778332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 673615-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298403 1) |
| 164W00000X Licensed Practical Nurse (Licence: NY 298403-1) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-05-04 |