| NPI | 1255754164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005638) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-12-12 |