| NPI | 1982025268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00558400) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SPO13756) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-03-27 |