| NPI | 1225348071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY RN221905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9225070) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-11-05 |