| NPI | 1487104931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp020794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA sp020794) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 2194) | |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2021-07-23 |