| NPI | 1609298520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 679223-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001225656) |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |