| NPI | 1568844280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN598846) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-07-12 |