| NPI | 1487160628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 834620) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 323720) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-05-30 |