| NPI | 1912286337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 279936-1) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 279936-1) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |