| NPI | 1033510524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 627568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 116465) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |