| NPI | 1104718089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: NY 758375) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 758375) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |