| NPI | 1386367399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA052534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026286) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-10-17 |