| NPI | 1578329223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 920508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 109427) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |