| NPI | 1891363768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 340574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 824666) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-11-17 |