| NPI | 1467864900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 739395) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 318396-1) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-29 |