| NPI | 1902473556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N07161-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 334449) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-10-22 |