| NPI | 1144665241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN633975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14082300) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |