| NPI | 1275089625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN505649L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 699643) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |