| NPI | 1588802888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA TLRN028632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00148572) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |