| NPI | 1598245698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020026) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020026) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190456) | |
| 163W00000X Registered Nurse (Licence: PA RN677419) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-08-14 |