| NPI | 1649986308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N29110) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 272388) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2026-02-18 |