| NPI | 1386042919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 316961-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 738810) |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2025-04-01 |