| NPI | 1255707444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172676) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-12-20 |