| NPI | 1225599830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN635261) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA MA5359787) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-01-29 |