| NPI | 1265919302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020144) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN617238) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2023-02-09 |