| NPI | 1578941696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 669404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781052) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |