| NPI | 1134642739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN661199) |
| 163W00000X Registered Nurse (Licence: DE L1-0047201) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR18087200) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-09-20 |