| NPI | 1588359103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: PA 718366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 718366) |
| 163WA2000X Registered Nurse, Administrator (Licence: PA 718366) | |
| 163WH0200X Registered Nurse, Home Health (Licence: PA 718366) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: PA 718366) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: PA 718388) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA 718366) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |