| NPI | 1861984429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN543830) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |