| NPI | 1316430234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP018849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R219258) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-03-06 |