| NPI | 1821116484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP017897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017897) |
| 363LF0000X Nurse Practitioner Family (Licence: MD R150049) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-03-07 |