| NPI | 1760996250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 767556-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330475) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2026-02-06 |