| NPI | 1952843187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 886777) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327258) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2024-11-18 |