| NPI | 1659864981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025719) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 022746) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-09-30 |