| NPI | 1255800884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22383) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA nppa055240) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2025-04-15 |