| NPI | 1558664490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 272055-1) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY 272055-01) |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: NY 272055-01) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2023-06-12 |