| NPI | 1922497361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17168500) |
| 163W00000X Registered Nurse (Licence: PA RN650774) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2018-02-20 |