| NPI | 1255112280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 677481) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 677481) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 677481) | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |