| NPI | 1003693193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R196035) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-09-18 |