| NPI | 1619347655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015513) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN596763) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2018-06-28 |