| NPI | 1245419548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012241) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009385) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00303600) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301792) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012241) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2020-01-03 |