| NPI | 1134503170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP016040) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9305581) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R234803) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2023-10-27 |