| NPI | 1679805329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 593388-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22593388) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2020-05-19 |