| NPI | 1205010402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN563375) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN563375) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |