| NPI | 1649726043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016349) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2022-08-08 |