| NPI | 1093093023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN298164L) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: PA RN298164L) |
| 163WG0000X Registered Nurse, General Practice (Licence: PA RN298164L) | |
| 163WH0200X Registered Nurse, Home Health (Licence: PA RN298164L) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN298164L) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |