| NPI | 1982183653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R172956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN570090) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |