| NPI | 1093089567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018485) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0011910) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP018485) | |
| 163W00000X Registered Nurse (Licence: DE L10048898) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR15489800) | |
| 163W00000X Registered Nurse (Licence: PA RN614510) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0011910) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-06-06 |