| NPI | 1205921715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 259336-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 259336-1) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 259336-1) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |