| NPI | 1093817678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 001329-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717410) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-04-11 |