| NPI | 1982712980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 636424-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 031218) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-11-20 |