| NPI | 1720479264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP027739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9298081) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-09-28 |