| NPI | 1730482233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6233181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14939900) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2012-12-10 |