| NPI | 1316454051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP018324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN623999) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-06-16 |