| NPI | 1235880071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9418136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 684438) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |