| NPI | 1467014050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SO020421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020421) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020421) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-01-18 |