| NPI | 1033506753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE RN-0012084) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-07-12 |