| NPI | 1063656080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 4092891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 409289) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2025-03-19 |