| NPI | 1588914212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN594552) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-04-16 |