| NPI | 1255048997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026224) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA SP026224) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-03-27 |