| NPI | 1386416345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 910589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN158387) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |