| NPI | 1639556103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 690570) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NY 007091) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-05 |