| NPI | 1316772171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP030512) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-01-10 |