| NPI | 1588960017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 805795) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2589481) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2025-12-03 |