| NPI | 1891064044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN581662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R170356) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |