| NPI | 1609479302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 799479-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 743646-1) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |