| NPI | 1215294095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9666339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 654219) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2026-07-02 |