| NPI | 1730481631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN508628L) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: PA RN508628L) |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2010-11-27 |