| NPI | 1306591367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA F10210486) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA 2019050903) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |