| NPI | 1255163432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030423) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP030423) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP030423) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-08-19 |