| NPI | 1508288580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 743219) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 307427) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-12-28 |