| NPI | 1457816050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11001166) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-11-29 |