| NPI | 1699124289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029084) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP029084) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 218823) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-02-01 |