| NPI | 1538662648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R199271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 697697) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |