| NPI | 1578032942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011242) |
| 163W00000X Registered Nurse (Licence: NC 271274) | |
| 163W00000X Registered Nurse (Licence: PA RN735586) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-11-15 |