| NPI | 1558985820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17486600) |
| 163W00000X Registered Nurse (Licence: PA RN689054) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-08-19 |