| NPI | 1922322197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020287) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007508) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-05-14 |