| NPI | 1285360180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MC7402112) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-04-11 |