| NPI | 1568705713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN572786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16536000) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |