| NPI | 1396269742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017907) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN587997) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-09-27 |