| NPI | 1578885000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 788201-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 300038) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2020-09-16 |