| NPI | 1043272586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA SP008172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN 311145L) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2012-11-01 |