| NPI | 1316480999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016851) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN573932) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-05-30 |