| NPI | 1083447643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN752642) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-08-29 |