| NPI | 1528002003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN562048) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA SP008690) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |