| NPI | 1174061626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 130554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633493) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2021-10-20 |