| NPI | 1720410004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: NY 666763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 666763) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |