| NPI | 1134677727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN616820) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-05-26 |