| NPI | 1386189926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 813359) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 324106-1) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2026-06-25 |