| NPI | 1770118341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 929063) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 337157) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2025-12-30 |