| NPI | 1871888784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN571698) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-07-21 |