| NPI | 1700547817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 812370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9585326) |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |