| NPI | 1609578806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22203600) |
| 163W00000X Registered Nurse (Licence: PA RN685502) | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-04-01 |