| NPI | 1053917740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 398888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R247682) |
| 163W00000X Registered Nurse (Licence: PA RN307618l) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR22028400) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-03-19 |