| NPI | 1841677515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 797561) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315185) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-08-20 |