| NPI | 1407726086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN719791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 113929) |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |