| NPI | 1053834242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP018637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18967800) |
| 163W00000X Registered Nurse (Licence: PA RN616492) | |
| 163W00000X Registered Nurse (Licence: DE L1-0049312) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-03-12 |