| NPI | 1831827070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN800811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R244647) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032751) | |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2025-11-18 |