| NPI | 1730833625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 496838) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: NY 496838) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-06-08 |