| NPI | 1205450673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 804373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 193627) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2026-09-03 |