| NPI | 1558692624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 330253) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NY 330253) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |