| NPI | 1649543612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 684209-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 305629-1) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2014-05-30 |