| NPI | 1912158254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6024591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R179725) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |