| NPI | 1053196089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP029685) |
| 163W00000X Registered Nurse (Licence: PA RN610225) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-02-13 |