| NPI | 1629512009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 906577-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310969) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-04-19 |