| NPI | 1104196781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 457197-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 457197-1) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |