NPI | 1750309084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 737983-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 080058-1) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-09-10 |