| NPI | 1194353052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022309) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 63115) |
| 163WG0000X Registered Nurse, General Practice (Licence: PA RN687908) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R246064) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-05-20 |