| NPI | 1922619899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 931923) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 337943-01) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2025-03-28 |