| NPI | 1083918817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO09560500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN611063) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2011-01-09 |