| NPI | 1932615903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22673096) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72052303) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2024-01-23 |