| NPI | 1851615702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP014996) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: KS 13104755042) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014996) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-11-01 |