| NPI | 1750521514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA NP SP005739B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN 291424L) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2020-08-10 |