| NPI | 1932565827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 952248) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319080) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-09-16 |