| NPI | 1568619260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010609) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN253763L) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009913) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-03-03 |