| NPI | 1982458063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN715436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500005921) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |