| NPI | 1063820082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 581526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 677952) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2025-07-15 |