| NPI | 1750718342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 759917) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315069) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-04-26 |