| NPI | 1043088487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044340) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023876) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2026-02-03 |