| NPI | 1710253232 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 552370)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 552370)  | 
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 552370)  | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 552370)  | |
| 163WS0200X Registered Nurse, School (Licence: NY 552370)  | |
| Enumeration Date | 2012-03-29 | 
| Last Update Date | 2014-07-09 |