| NPI | 1639604465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 468321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R50912) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-04-30 |