| NPI | 1972610673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 264739L) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA TP005824B) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |