| NPI | 1306574454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 715579) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-07-12 |