| NPI | 1144603986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN538201) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2021-02-02 |