| NPI | 1891479556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 904520) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 346868) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-11-09 |