| NPI | 1881422947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030012) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA SP030012) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: PA SP030012) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: PA SP030012) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP030012) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP030012) | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-08-23 |