| NPI | 1922576891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 260065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 843285-01) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-10-11 |