| NPI | 1083070601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015593) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: PA SP015593) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP015593) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-02-21 |