| NPI | 1679019426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L10049709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN680502) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |