| NPI | 1619222551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN623350) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2019-12-11 |