| NPI | 1194926956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA TLRN023936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0034296) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |