| NPI | 1780092304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 668583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247243) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |