| NPI | 1649724303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 716595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18378900) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |