| NPI | 1467029207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 741771) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 741771) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |