| NPI | 1770073074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 743502) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: NY 743502) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |