| NPI | 1790151520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 776091-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 322874-1) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2019-09-05 |