| NPI | 1285485284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029493) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 0038697) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-06-30 |