| NPI | 1780086637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 810622) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 318360-1) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-02-26 |