| NPI | 1508311960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP016348) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016348) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-04-24 |