| NPI | 1518475797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 7540111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7054111) |
| 163W00000X Registered Nurse (Licence: NY 7450111) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |