| NPI | 1679374300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 120205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN788892) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |