| NPI | 1235584319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN239186L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA RN239186L) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |