| NPI | 1669843439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0067573) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011730) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2022-04-20 |