| NPI | 1629541347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0052992) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001180) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-09-27 |