| NPI | 1861638389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN596817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR09821900) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |