| NPI | 1629667092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN712497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20969600) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-12 |