| NPI | 1063616159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022218) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 1888442) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1888442) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-11-22 |