| NPI | 1982475513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA TLRN073814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1024443) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |