| NPI | 1952800989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 597287) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-12-25 |