| NPI | 1386356855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 956037) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 345357-01) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-09-14 |