| NPI | 1942687272 |
|---|---|
| Former Name | ABIGAIL IRENE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV 82651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 574684) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |