| NPI | 1306070008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN574468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 579231-1) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |