| NPI | 1023455565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN537937) |
| 163WH0200X Registered Nurse Home Health (Licence: PA RN537937) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2024-01-09 |