| NPI | 1588072300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 761864) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 761864) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 761864) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 314147) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-12-01 |