| NPI | 1497267512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 848366) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330503) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-03-13 |