| NPI | 1518519636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP019607) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: PA SP019607) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-06-11 |