| NPI | 1841688900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP014535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014535) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2023-09-21 |