| NPI | 1417461427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP017811) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2021-05-12 |