| NPI | 1295439255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 927494) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 338206) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-10-13 |