| NPI | 1992209795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R219377) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-05-08 |