| NPI | 1487641478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MA5186350) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-06-19 |