| NPI | 1275014615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP019007) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP019007) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-12-29 |