| NPI | 1043073802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 991470) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 343052) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-08-27 |