| NPI | 1326593278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016515) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN532555) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2021-11-22 |