| NPI | 1013292812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 22 510514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 510514) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |