| NPI | 1366783540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN68) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1117100) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2024-09-18 |