| NPI | 1851876510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN563944) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-12-10 |