| NPI | 1588249627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 848122) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 1211790) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-07-27 |