| NPI | 1861160624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN256196L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR07082400) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2021-09-04 |