| NPI | 1356762272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R28865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN235758L) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |