| NPI | 1932583903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP028896) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005396) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2024-04-26 |