| NPI | 1780123976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN589454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703992) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |