| NPI | 1255179792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA 2023128719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN685927) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-22 |