| NPI | 1326898735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0072653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN639674) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-04-08 |