| NPI | 1134668999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN702970V) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16754400) | |
| 163W00000X Registered Nurse (Licence: NY 674636) | |
| 363L00000X Nurse Practitioner (Licence: PA SP018876) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-03-02 |