| NPI | 1962469320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP005787B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN512581L) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-11-09 |