| NPI | 1891029971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN588764) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN266422) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |