| NPI | 1407570336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 990467) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 340196) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-12-22 |