| NPI | 1881257467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 855119) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 324471) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-01-25 |