| NPI | 1790043990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA SP029379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6323271) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-07-17 |