| NPI | 1730391624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN581747) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5148378) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |