| NPI | 1730505231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6759731) |
| 163W00000X Registered Nurse (Licence: PA 666665) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2018-08-01 |