| NPI | 1669709671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN515256L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9286929) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |