| NPI | 1487199923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 778908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1040938) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2025-01-21 |