| NPI | 1659735009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN600866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13626800) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |