| NPI | 1518294529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 713199) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299174) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2016-03-25 |