| NPI | 1205174000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN270275L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07532400) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |