| NPI | 1740458918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 653062) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN276191) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-10-09 |