| NPI | 1821635962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA ME5636571) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-04-25 |