| NPI | 1801128079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN597849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R185199) |
| 163W00000X Registered Nurse (Licence: CA RN762723) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |