| NPI | 1083501795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 990126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1704604) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-08-05 |