| NPI | 1063074573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 671260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18370000) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-11-18 |