| NPI | 1295382232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP021354) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP015381) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-04-01 |