| NPI | 1912974627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 236175) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-02-15 |