| NPI | 1134565468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0031936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN550145) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |