| NPI | 1124770383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN560797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR08313400) |
| 163WH0200X Registered Nurse, Home Health (Licence: PA RN560797) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN560797) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-04-26 |