| NPI | 1376214064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 288936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 727411) |
| 163W00000X Registered Nurse (Licence: CT 145159) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-02-02 |