| NPI | 1487392866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 931763) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 341039) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-06-30 |