NPI | 1568167906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: PA RN716099) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027414) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-04-06 |