| NPI | 1407408289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP020476) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020476) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-06-02 |