| NPI | 1649984196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN767508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001266324) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |