| NPI | 1124893037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R181161) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-08-22 |