| NPI | 1346551595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN611005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14637900) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |