| NPI | 1114662012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN755495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704537) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-07 |