| NPI | 1659769016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN536748) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2018-11-20 |