| NPI | 1548430390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN358499L) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5147064) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |