| NPI | 1396243945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 603277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 603277) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |