| NPI | 1063883890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP015448) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP015448) |
| 163WE0003X Registered Nurse Emergency (Licence: PA RN519954L) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-06-11 |