| NPI | 1023702867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027633) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA SP027633) |
| 207Q00000X Family Medicine (Licence: PA SP027633) | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-05-28 |