| NPI | 1326622051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP022722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022722) |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-07-19 |