| NPI | 1174102081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP295051) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24953) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193571) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-12-11 |