| NPI | 1255783650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN317415L) |
| 163W00000X Registered Nurse (Licence: NY 703810-1) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR09053300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341152) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2021-05-05 |