| NPI | 1710530324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn695767) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-06-07 |