| NPI | 1073956157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA Sp016378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA SP016378) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R205596) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016378) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-08-23 |