NPI | 1215316591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN782298) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321856-1) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2025-04-08 |