| NPI | 1710284260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 592058-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 592058-1) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: NY 592058-1) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |