| NPI | 1366161861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 894030) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 290034-01) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-07-21 |