| NPI | 1093238578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP034516) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202004903NP-PP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2262404) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2025-12-09 |