| NPI | 1831513621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 776925) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 317346) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2024-08-21 |