| NPI | 1790925048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE RN-0010735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN586323) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |