| NPI | 1053162123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 963768) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 346957) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-11-05 |