| NPI | 1326316761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R155787) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-05-08 |