| NPI | 1639486244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: PA RN575484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN199182) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |