| NPI | 1780329656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR15333900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN622739) |
| 163W00000X Registered Nurse (Licence: IL 041434441) | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |