| NPI | 1790127280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 815249) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313247) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-04-03 |