| NPI | 1902269376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 799853) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 324844-1) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-11-15 |