| NPI | 1386071678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP012949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012949) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9386821) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2021-08-30 |