| NPI | 1740656958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 779227) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 322261) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2024-04-18 |