| NPI | 1770841835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22 632649) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 22632649) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2018-05-01 |