| NPI | 1932545563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN635334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 8440) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |