| NPI | 1699104331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN287933L) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-08-30 |