| 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 |