| NPI | 1467032169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 669099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 669099) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-09 |