| NPI | 1013434026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA 00NP00753A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP000753A) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |