| NPI | 1346710258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 677394-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 237612) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2025-12-02 |