| NPI | 1003495888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023487) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN634479) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-09-13 |