| NPI | 1003464470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 773789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 773789-01) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-09-28 |