| NPI | 1699152496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 316496) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 818420) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-07-27 |