| NPI | 1275121642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 869739) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 337936) |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2024-03-17 |