| NPI | 1770533663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R155699) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-09-02 |