| NPI | 1346896677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN662032) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP020573) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-12-28 |