| NPI | 1376064253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626350) |
| 163W00000X Registered Nurse (Licence: DE L1-0071456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012315) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-08-28 |