| NPI | 1558892505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR12660000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658041-1) |
| 163W00000X Registered Nurse (Licence: CA 95099862) | |
| 163W00000X Registered Nurse (Licence: TX 916053) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |