| NPI | 1710411749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047728) |
| 163W00000X Registered Nurse (Licence: PA RN464196) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0001038) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-08-18 |