| NPI | 1114172871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN556378) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 185928) |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |