| NPI | 1073080602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1049650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 726472-1) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |