| NPI | 1457019812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN252535L) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN252535L) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |