| NPI | 1851796882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA sp014393) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-11-18 |