| NPI | 1831655000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 896061) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 334398) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-07-23 |