| NPI | 1326588898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016946) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: PA SP016946) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2023-05-09 |