| NPI | 1639500457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695117) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297214-1) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2015-01-22 |