| NPI | 1619191723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA Rn331364L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9253975) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |