| NPI | 1295216372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018942) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA SP018942) |
| 207Q00000X Family Medicine (Licence: PA SP018942) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-17 |