| NPI | 1841595329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698066) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 304038) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2015-03-30 |