| NPI | 1558746115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6741581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2302012) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |