| NPI | 1144824939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 802468) |
| 163W00000X Registered Nurse (Licence: PA RN759933) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F350179) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-05-06 |