| NPI | 1356872360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 708077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN57262) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-03-17 |