| NPI | 1720747223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA 2000307060) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN684623) |
| 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR21484800) | |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2022-01-28 |