| NPI | 1689257313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP023661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN684403) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |