| NPI | 1003578980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 351161-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 119669) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-08 |