| NPI | 1326677535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020002482) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-01-22 |