| NPI | 1255843686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP017700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP017700) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-03-24 |