| NPI | 1891021028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NY 881719) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 291556) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2024-11-07 |