| 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 |