| NPI | 1790451441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 730493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 755111) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |