| NPI | 1821377698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 288125) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 288125) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 288125) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |