| NPI | 1629445101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763700-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 322983) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-05-30 |