| NPI | 1073906137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 566502-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14638300) |
| 163W00000X Registered Nurse (Licence: PA RN639551) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |