| NPI | 1508617986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NY 713165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 713165) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-04-21 |