| NPI | 1881200855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN673683) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-12-04 |