| NPI | 1790991891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN240048L) |
| Additional Taxonomies | 163WC1400X Registered Nurse College Health (Licence: NJ 26NR11675300) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |