| NPI | 1912442096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 738835-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 323019-1) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2017-09-01 |