| NPI | 1588816219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP010364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 280824) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2020-10-15 |