| NPI | 1700243805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ NJ26NR18259800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn671679) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-07-22 |