| NPI | 1992577530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN674806) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028525) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-30 |