| NPI | 1730516873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP013233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013233) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2021-09-13 |