| NPI | 1861273260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN233490L) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: PA RN233490L) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |