| NPI | 1760666713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 634166) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 283147-1) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-01-15 |