| NPI | 1487241881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN668236) |
| 163W00000X Registered Nurse (Licence: MD R217049) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP022754) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2021-07-15 |