| NPI | 1346805686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 317961) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 816774) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-04-10 |