| NPI | 1821462219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN318249L) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-06-19 |