| NPI | 1659898617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA Sp026342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175085) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-08-13 |