| NPI | 1881995504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO12123300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN608145) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |