| NPI | 1508439662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY N05710) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 341641-01) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-12-22 |