| NPI | 1407297633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SPO14286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542682-1) |
| 163WH0200X Registered Nurse, Home Health (Licence: PA RN550586) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2015-09-02 |