| NPI | 1477802684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 657617) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 657617) |
| 171W00000X Contractor (Licence: NY 657617) | |
| 207Q00000X Family Medicine (Licence: NY 657617) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |