| NPI | 1649610619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN584385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 684056) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-10-31 |