| NPI | 1366671729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN2717172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY RN396986) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |