| NPI | 1003887308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP006478B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN243570L) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA UP006478B) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-02-11 |