| NPI | 1497065528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 688965) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302341) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2019-12-03 |