| NPI | 1336864982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN664969) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |