| NPI | 1215538137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20994600) |
| 163W00000X Registered Nurse (Licence: PA RN665850) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |