| NPI | 1174948137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 644867-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619472) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |