| NPI | 1639479496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 501058) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 501058) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |