| NPI | 1326573130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 796736) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301269) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2025-05-27 |