| NPI | 1265963763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 723294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 139796) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |