| NPI | 1881691426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP007848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP0994768) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-01-23 |