| NPI | 1942829510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN641567) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN641567) |
| 163W00000X Registered Nurse (Licence: CT 150584) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |