| NPI | 1629404959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 558334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN652248) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |