| NPI | 1982411823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 875434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 222775) |
| 163W00000X Registered Nurse (Licence: MD R249000) | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |