| NPI | 1710164306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 747587) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 272067) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2018-05-02 |