| NPI | 1285114082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018998) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 228786) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-03-07 |