| NPI | 1407917362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006417B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN252976L) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-07-06 |