| NPI | 1922300813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN604524) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: PA RN604524) |
| Enumeration Date | 2010-11-26 |
| Last Update Date | 2010-11-26 |