| NPI | 1730728734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 843119-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 325583-1) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2026-04-20 |