| NPI | 1922466101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 662723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17313300) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |