| NPI | 1790489474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 510791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9508469) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |