| NPI | 1558790634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 878594) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297808) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-04-21 |