| NPI | 1164284121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SPO29151) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |