| NPI | 1750791612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 22. 683025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 683025) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |