| NPI | 1346509585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 645160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15989300) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-02-15 |