| NPI | 1487177713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018020) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: PA RN605571) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2021-01-27 |