| NPI | 1982150660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN604451) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2017-07-21 |