| NPI | 1942644836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn634739) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-02-25 |