| NPI | 1144777848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN638062) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2019-07-07 |