| NPI | 1760856736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN662358) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2022-08-12 |