| NPI | 1619235918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 927453) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308020) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-07-16 |