| NPI | 1124546775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 412756) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 412756) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |