| NPI | 1861027880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 744550) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 153302) |
| 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR20009100) | |
| 163WG0000X Registered Nurse, General Practice (Licence: PA RN710934) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |