| NPI | 1235847328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN724304) |
| 363L00000X Nurse Practitioner (Licence: PA SP026593) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-02-11 |