| NPI | 1265948871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626756) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2020-11-16 |