| NPI | 1013311034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP021682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN648670) |
| 163W00000X Registered Nurse (Licence: NJ 26R22309700) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021682) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01115300) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2021-03-26 |