| NPI | 1003447368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP021427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN726595) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-01-25 |