| NPI | 1164620373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 4245201) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: NY 4245201) |
| 163WX0106X Registered Nurse Occupational Health (Licence: NY 4245201) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |