| NPI | 1962941484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 786470) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327070) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2025-08-26 |