| NPI | 1881830115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN620492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 596565) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2013-05-10 |