| NPI | 1942483516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R172056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN285525L) |
| 163W00000X Registered Nurse (Licence: NY 300401-1) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |