| NPI | 1023708674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN591439) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-12-30 |