| NPI | 1508567751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 767283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001318318) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |