| NPI | 1235334798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA TLRN025650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R162402) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-04-17 |