| NPI | 1063538866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001654) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-09-20 |