| NPI | 1083024491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 670204-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 110682) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |