| NPI | 1184913337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6241471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9275148) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |