| NPI | 1700159258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 690332-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308405) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2014-08-14 |