| NPI | 1215205133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 247406-1) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 247406-1) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |