| NPI | 1225571383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: NY 669313) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 669313) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |