| NPI | 1063032530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021698) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA SP021698) |
| 363L00000X Nurse Practitioner (Licence: PA SP021698) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP021698) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021698) | |
| 207RH0000X Internal Medicine, Hematology (Licence: PA SP021698) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |