| NPI | 1477035756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023574) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: PA 554077) |
| 163W00000X Registered Nurse (Licence: PA 55407) | |
| 163WG0000X Registered Nurse, General Practice (Licence: PA 55407) | |
| 163WH0200X Registered Nurse, Home Health (Licence: PA 55407) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2025-07-07 |