| NPI | 1902276967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 658594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95033206) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |