| NPI | 1689067035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014775) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014775) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2021-01-16 |