| NPI | 1326393729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN296230L) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP006811C) |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2025-08-10 |