| NPI | 1255764882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 649242) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 357441) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2025-09-22 |