| NPI | 1487306148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN225894L) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: PA RN225894L) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |