| NPI | 1235501115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 702744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18312800) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |