| NPI | 1255839106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007905) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-12-10 |