| NPI | 1548254923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 4673071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26Nr09713400) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-09 |