| NPI | 1396325619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA F01211375) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023496) | |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2023-05-31 |