| NPI | 1669957346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 739392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001279677) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |