| NPI | 1669930210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 754276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 754276) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2020-06-11 |