| NPI | 1902436389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021966) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903590) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021966) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021966) | |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-09-11 |