| NPI | 1003582578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 633089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633089) |
| 163WC1500X Registered Nurse, Community Health (Licence: NY 633089) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |