| NPI | 1982138178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 327951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 815966) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-07-25 |