| NPI | 1922068501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN543935) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-03-13 |