| NPI | 1720547912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 799455) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331581) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2020-09-09 |