| NPI | 1235765009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021404) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021404) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP021404) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-02-07 |