| NPI | 1891199824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 657298-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 111087) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |