| NPI | 1437396314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP000654D) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA NPPA625) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2022-01-20 |