| NPI | 1821209172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN567717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 1268552) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |