| NPI | 1609252725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 816631) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 272953) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2026-01-29 |