| NPI | 1508017765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 699564) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 292881) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2015-06-18 |