| NPI | 1184172165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030236) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 763043) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-09-23 |