| NPI | 1760732739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 514138-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 233425-1) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2013-01-26 |