| NPI | 1376853697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD L1-0037615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN584926) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |