| NPI | 1609401207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020119) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: PA 1316902885) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-07-29 |