| NPI | 1457725061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015483) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-04-10 |