| NPI | 1861438129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP004731B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP004713B) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-06-05 |