| NPI | 1376869677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19076) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2022-03-15 |