| NPI | 1417513185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA 019704) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-09-20 |