| NPI | 1073776605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0030515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN525252L) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |