| NPI | 1326887191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 70219301) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 70219301) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |