| NPI | 1548995087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN697137) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA F06220832) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-10-24 |