| NPI | 1730422361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN273924L) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: PA RN273924L) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |