| NPI | 1457894602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN589062) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-09-10 |