| NPI | 1336755123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N12924) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 339122) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2026-06-30 |