| NPI | 1982997235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 639472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 233303) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |