| NPI | 1154035574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN733635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 107126) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |