| NPI | 1912226432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 756438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2998881) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2022-03-30 |