| NPI | 1275209959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR21523900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN725894) |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |