| NPI | 1912642927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 615999-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 615999-01) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |