| NPI | 1578383857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 992390) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 284566) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2025-08-22 |