| NPI | 1215215595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 713838) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 279937-1) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2025-10-14 |