| NPI | 1114278918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0041573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN36258) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |