| NPI | 1669306031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN748645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26RN26638500) |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-10 |