| NPI | 1356868079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7730-33) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-03-03 |