| NPI | 1184397374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 159580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702782) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |