NPI | 1700055944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN334305L) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: NJ 26NR08551400) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2008-02-21 |