| NPI | 1861870495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 620326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 620326) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 620326) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |