| NPI | 1942680848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 321996-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 855638) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-03-20 |