| NPI | 1023492212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015106) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP015106) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2018-12-27 |