| NPI | 1619567161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN682611) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-10-05 |