| NPI | 1982170353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 810718) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 329721) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2021-07-12 |