| NPI | 1104525120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027571) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: PA RN667854) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-08-11 |