| NPI | 1720442593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: PA RN640366) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN640366) |
| 163WC1500X Registered Nurse, Community Health (Licence: PA RN640366) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-10-13 |