| NPI | 1053072181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SPO24851) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN574860) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN574860) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2023-03-08 |