| NPI | 1649713678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN665498) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA RN665498) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |