| NPI | 1285217182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 109023) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2022-04-09 |