| NPI | 1457631681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 484649-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 197458) |
| 163W00000X Registered Nurse (Licence: CT R 39794) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |