| NPI | 1780958538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN556358) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2020-08-13 |