| NPI | 1326501883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R242989) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-11-25 |