| NPI | 1760191845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN647810) |
| 207R00000X Internal Medicine (Licence: PA RN647810) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA RN647810) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-01-19 |