| NPI | 1326510405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 932628) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 334301) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2025-12-23 |