| NPI | 1184747776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN516639L) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-07-01 |