| NPI | 1821510215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 25814117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0049691) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |