| NPI | 1891212254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 773603) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315623) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2022-07-21 |