| NPI | 1497283055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9779) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-11-17 |