| NPI | 1649676370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013816) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital Critical Access |
| 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP013816) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP013817) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2018-08-16 |