| NPI | 1760951594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020076) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA F09181703) |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2020-12-09 |