| NPI | 1265048565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP021625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021625) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-12-17 |