| NPI | 1457693061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN705502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA PN292293) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN292293) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-06-21 |