| NPI | 1962834135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN287734L) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-06-27 |