| NPI | 1861863540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 639354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN621329) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |