| NPI | 1710385877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014601) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2021-01-27 |