| NPI | 1457058372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 856219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 856219-01) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |