| NPI | 1043603434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014762) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: PA SP014762) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-05-02 |