| NPI | 1073267852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 173343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 807138) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |