| NPI | 1497259584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 711868-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711868-1) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NY 133788) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-12-06 |