| NPI | 1275833246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN301616L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07318900) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |