| NPI | 1609296631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 873692) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3179331) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2025-02-06 |