| NPI | 1043645161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 123873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 556384) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2015-04-30 |