| NPI | 1538822408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN700307) |
| 163W00000X Registered Nurse (Licence: NJ 26NR20038600) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |