| NPI | 1538934286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 627802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627802) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |