| NPI | 1770733230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 652330) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 290747) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2012-01-03 |