| NPI | 1285186767 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0042431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN618673) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |