| NPI | 1629305453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN589495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13445700) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |