NPI | 1508378498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018316) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: PA RN599469) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018316) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG0001096) | |
Enumeration Date | 2017-10-31 |
Last Update Date | 2023-05-08 |