| NPI | 1437861010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 631028-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704284284) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |