| NPI | 1013615483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 849859) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 328384) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |