| NPI | 1821284993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY F304675-1) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY F304675-1) |
| 163WX0800X Registered Nurse Orthopedic (Licence: NY F304675-1) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2023-03-07 |