| NPI | 1275379133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R258629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN744209) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |