| NPI | 1033583901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 384411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16269000) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |