| NPI | 1306490701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN660405) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-12-12 |