| NPI | 1902314586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN578324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018985) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-07-16 |