| NPI | 1922281625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 266330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 538058) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |