| NPI | 1013273929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026602) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA SL010743) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-05-16 |