| NPI | 1891236188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 861659) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309519-1) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-05-06 |