| NPI | 1528727716 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 73430401)  | 
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 73430401)  | 
| Enumeration Date | 2021-12-15 | 
| Last Update Date | 2021-12-15 |