| NPI | 1447892500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N33881) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331428) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2026-08-03 |