| NPI | 1780113928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028828) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR14611400) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: PA RN610450) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2025-08-21 |