| NPI | 1750511150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010936) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN618563) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R169520) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-02-03 |