| NPI | 1053592741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA rn518054l) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9167458) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |