| NPI | 1770001331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY R35103) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NM R35103) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |