| NPI | 1811658149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN753779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.465788) |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-03-11 |