| NPI | 1285012526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030910) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-04-02 |