| NPI | 1043759780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN260418L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN288309) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |