| NPI | 1336719996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP026418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN670375) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-09-26 |