| NPI | 1942483516 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R172056) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN285525L) | 
| 163W00000X Registered Nurse (Licence: NY 300401-1) | |
| Enumeration Date | 2007-12-06 | 
| Last Update Date | 2007-12-06 |