| NPI | 1902273055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP015215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015215) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2020-10-07 |