| NPI | 1629340476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 669419) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299528-1) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2013-08-06 |