| NPI | 1588745533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY F330593) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY F330593) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-06-06 |