| NPI | 1629897970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R165031) |
| 163W00000X Registered Nurse (Licence: PA RN795431) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R165031) | |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-11-07 |