| NPI | 1881605277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 581663-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2499141) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-08-23 |