| NPI | 1790470821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 686380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R055714-1) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |