| NPI | 1174093041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 731111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7311111) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |