| NPI | 1265092837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9448683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565638-1) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |