| NPI | 1801219472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020166) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN546238) |
| 163WC1500X Registered Nurse, Community Health (Licence: PA RN546238) | |
| 163WH0200X Registered Nurse, Home Health (Licence: PA RN546238) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN546238) | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2019-09-05 |