| NPI | 1922572759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA F01190630) |
| 363L00000X Nurse Practitioner (Licence: PA SP019989) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2021-06-22 |