| NPI | 1639422363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN555938) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-01-02 |