| NPI | 1518276187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN566807) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2023-08-30 |