| NPI | 1457030421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R239269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626582) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-09-19 |