| NPI | 1760887988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 816642) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 318230) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2026-05-01 |