| NPI | 1548036783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 858191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 263483) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |