| NPI | 1912412859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N29835) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330509) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2026-06-12 |