| NPI | 1356937445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP030853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN702369) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-10-13 |