| NPI | 1629685904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 921094) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 336535) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-05-23 |