| NPI | 1407259641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R193882) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-12-23 |